Acute Rehabilitation in a Lung Transplant Recipient Infected with Covid-19: Case Report

IF 0.3 Q4 REHABILITATION

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2021-06-20 DOI:10.1080/02703181.2021.1936340

Cristiane Meirelles, Sidra Dhiraprasiddhi, Adannaya E. Nzeogu, Sara Clements, Colleen Wallace, D. Nunley

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引用次数: 0

Abstract

Abstract We report a case of a 68-year-old female with idiopathic pulmonary fibrosis who underwent bilateral lung transplantation with concurrent Covid-19 infection. Physical and Occupational therapy were initiated immediately following transplantation. Physical therapy interventions included bed mobility, functional transfers, ambulation, balance training, aerobic and breathing exercises. Occupational therapy interventions worked on cognitive and grooming tasks, total body dressing, anxiety reduction and energy conservation. Despite the presence of respiratory and physical impairments, the patient achieved significant improvements in functional mobility and ADLs. The patient improved her activity tolerance and was discharged to an inpatient rehabilitation facility. Rehabilitation management of lung transplant recipients with Covid-19 has not been studied and therefore it is crucial to investigate the effects of early evaluation and treatment of impairments exhibited by these patients, as they will likely require acute and long-term rehabilitation. Further research is needed to provide clinical practice guidelines for lung transplant recipients with Covid-19.

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1例肺移植受者感染Covid-19的急性康复

我们报告一例68岁女性特发性肺纤维化患者并发Covid-19感染行双侧肺移植。移植后立即开始物理和职业治疗。物理治疗干预包括床的移动，功能转移，步行，平衡训练，有氧和呼吸练习。职业治疗干预在认知和修饰任务、全身着装、减少焦虑和节约能量方面起作用。尽管存在呼吸和身体损伤，但患者在功能活动能力和ADLs方面取得了显着改善。患者的活动耐受性得到改善，并出院至住院康复机构。尚未对Covid-19肺移植受者的康复管理进行研究，因此研究早期评估和治疗这些患者表现出的损伤的效果至关重要，因为他们可能需要急性和长期康复。需要进一步研究为新冠肺炎肺移植受者提供临床实践指南。

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来源期刊

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS REHABILITATION-

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： This comprehensive journal is recognized for its useful balance of research and clinical practice articles. For more than twenty five years Physical & Occupational Therapy in Geriatrics has functioned as a forum for allied health professionals as well as others with a focus on rehabilitation of the geriatric client to share information, clinical experience, research, and therapeutic practice. Each issue focuses on current practice and emerging issues in the care of the older client, including rehabilitation and long-term care in institutional and community settings, and innovative programming; the entire range of problems experienced by the elderly; and the current skills needed for working with older clients.